Individual
AMANDA CONVERSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
222 S MAIN ST, ORRVILLE, OH 44667-1910
(330) 683-8711
Mailing address
7627 LYNX AVE NE, CANTON, OH 44721-2133
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03337714
OH
Other
Enumeration date
10/27/2017
Last updated
04/08/2021
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